Background Central nervous system affection in rheumatoid arthritis is rare. The most frequently encountered neurological complications with rheumatoid arthritis are peripheral neuropathy and atlantoaxial subluxation with subsequent spinal cord compression. Cerebral rheumatoid vasculitis is not a common complication. Case presentation A 60-year-old Egyptian female with history of rheumatoid arthritis for 15 years presented with headache and receptive aphasia. Computed tomography scan of the brain showed recent intracerebral hemorrhage. Digital subtraction cerebral angiography showed moyamoya syndrome angiographic pattern as sequelae of intracranial vasculitis. The patient did well with conservative management. Conclusion Cerebral rheumatoid vasculitis is rare, but can be a life-threatening condition. Early management of rheumatoid arthritis is essential to prevent such serious complication.
Background The use of a distal cerebral protection device during extracranial carotid artery stenting is still a matter of debate. The aim of this work was to evaluate the safety of performing carotid artery stenting procedure without the use of cerebral protection device in patients with symptomatic carotid stenosis. A retrospective study was performed during the period from September 2015 till March 2020 including 91 patients with symptomatic carotid artery stenosis. All patients were treated with a single stent type (Wall stent® - Boston scientific) without the use of cerebral protection device. Pre- and post-procedural clinical assessment with the national institute of health stroke scale (NIHSS). Post procedure brain diffusion-weighted magnetic resonance imaging (DW-MRI) if clinically indicated within 24 h was used to determine periprocedural cerebral embolization. Results A low complication rate was found as only one case (1%) showed mild deterioration in NIHSS and new acute cerebral emboli were detected with brain DW-MRI. Conclusion Carotid artery stenting can be performed safely without the use of cerebral protection device.
Background Stroke is one of the most common morbidities in elderly all over the world, with studies showing prevalence more than 50% in elderly individuals > 60 years (1), by 2050, the global number of old people (aged ≥65 years) will be greater than the number of young people (aged <65 years) for the first time since formal records began (2). This growth in the aged population, together with the influence of aging on stroke, suggests that the incidence and economic cost of this disease will increase (3). Stroke is the main cause of serious, long-term neurologic impairment and functional disability. Depending on the severity, a stroke can leave an individual with residual impairment of physical, psychological, social and cognitive function (4). An older person needs more assistance in daily living or requires placement in an institution than a younger patient with stroke (5). The dramatic clinical effect of stroke on older patients can be due to changes in the vascular response to stress and injury with increasing age, which can be due to factors such as pre stroke medical and functional status, multiple organ dysfunctions, polypharmacy, and stroke severity (6). Meanwhile Health was defined in the World Health Organization (WHO) Constitution as "a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity" (7). Measuring health related quality of life (HRQOL) in elderly enable them to maintain their mobility, independence, their active contribution to society, and to respond effectively to the challenges of older age and bring an active aging for them (8). Elderly with multiple disorders often experience problems that adversely influence their HRQoL (9). Therefore, investigating HRQoL of the elderly is especially important because health issues limit their independence and ability to engage in life activities. Despite the growing interest in quality of life (QoL) issues in clinical research and practice, little attention has been paid to evaluating systematically the QoL of stroke patients. QoL investigations are useful in gaining a better understanding of patients' reactions to illness and for enhancing supportive care and also for evaluating the efficacy of therapeutic interventions. Although there is an association between neurological deficits and QL, they are not synonymous (10). So the aim of this study is to assess the impact of stroke on quality of life of elderly and to identify the determinant of QoL in geriatric stroke patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.